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Contact Information

WALGREEN CO.
1610 E VERMEER RD # PLANT 3 1/2 STE 100RX
PELLA, IA50219-7658
 Phone: 641-651-3034
 Fax: 641-651-3037
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WALGREEN CO.

NPI # 1164578134
LBN Legal business name WALGREEN CO.
Authorized official KIRA TAYLOR - (MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/25/2007
Last updated 08/10/2023 - About 3 years ago
Identifiers
IA License # 1286
Other 1622542 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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